Integrative Rehabilitation PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INTEGRATIVE REHABILITATION PLLC

Doing business as

Philadelphia Integrative Medicine

Practice address

200 Eagle Rd Ste 208
Wayne, PA 19087-3115

Phone

(888) 702-7974

Fax

(888) 702-7974

NPI assigned

Dec 26, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Georgia Katherine Tetlow, MD

Title

Ceo/Owner

Phone

(888) 702-7974

Specialties & licenses 1

Addresses

Other names 1

• Philadelphia Integrative Medicine Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pooja Mahtani

  • Nutritionist
  • Wayne, PA
  • NPI 1033897871
  NPD
• Lynda Sherland, APRN-FNP

  • Family Nurse Practitioner
  • Wayne, PA
  • NPI 1700963105
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1083035653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EAGLE RD STE 208",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873115",
            "telephone_number": "888-702-7974",
            "fax_number": "888-702-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EAGLE RD STE 208",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873115",
            "telephone_number": "888-702-7974",
            "fax_number": "888-702-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "TETLOW",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "888-702-7974",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philadelphia Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Inspirit Counseling, LLC
• Integrity Eye Associates
• Lance Isakov, M.AC. L.AC.,
• Isleib Center PLLC
• Andrew S. Isleib, DO
• Valentina Isleib, MFT

• Clinic/Center in Wayne, PA
• Providers in Wayne, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.